A5055418016- Healthcare Policy and Management
- Health Systems, Economic Evaluations, Quality of Life
- Global Health Care Issues
- Primary Care and Health Outcomes
- Employment and Welfare Studies
- Healthcare Systems and Challenges
- Healthcare cost, quality, practices
- Health Services Management and Policy
- Wound Healing and Treatments
- Mobile Health and mHealth Applications
- Diabetic Foot Ulcer Assessment and Management
- Telemedicine and Telehealth Implementation
- Pressure Ulcer Prevention and Management
- Pharmaceutical Practices and Patient Outcomes
- Hip and Femur Fractures
- Nasal Surgery and Airway Studies
- COVID-19 Digital Contact Tracing
- Reconstructive Facial Surgery Techniques
- Healthcare Quality and Management
- Healthcare professionals’ stress and burnout
- Cerebral Palsy and Movement Disorders
- Statistical Methods and Inference
- Balance, Gait, and Falls Prevention
- Emergency and Acute Care Studies
- Healthcare Decision-Making and Restraints
University of Leeds
2009-2025
Outcomes Research Consortium
2024
South Tyneside College
2023
University of Nottingham
2023
Physical Sciences (United States)
2023
University of Warwick
2021
University of York
2001-2018
Office Of Health Economics
2013
Addenbrooke's Hospital
2010
University of Huddersfield
2009
Community screening and therapeutic prevention strategies may reduce the incidence of falls in older people. The effects these measures on fractures, use health resources, health-related quality life are unknown.
Patient-reported outcome measures (PROMs) are now routinely collected in the English National Health Service and used to compare reward hospital performance within a high-powered pay-for-performance scheme. However, PROMs prone missing data. For example, hospitals often fail administer pre-operative questionnaire at admission, or patients may refuse participate return their post-operative questionnaire. A key concern with is that individuals complete information tend be an unrepresentative...
Excessive turnover reduces the stock of an organization's human capital. In public sector, where wage increases are often constrained, managers need to leverage non-monetary working conditions retain their workers. We investigate whether workers responsive improvements in non-wage aspects job by evaluating impact on nurse retention a programme that encouraged hospitals increase staff through data monitoring and improving non-pecuniary nursing jobs. Employing rich employee-level...
A structural model of job satisfaction and quitting intentions is estimated using data from a survey general practitioners in the UK. Previous research has used reduced form models, making interpretation coefficients problematic. The use recursive helps to clarify relationships between quit, overall satisfaction, domains personal characteristics. Job characteristics have direct effect on addition their indirect impact through domains. via satisfaction. approach provides richer role quit than...
<h3>Background</h3> Pharmaceutical care serves as a collaborative model for medication review. Its use is advocated older patients, although its cost-effectiveness unknown. Although the accompanying article on clinical effectiveness from RESPECT (Randomised Evaluation of Shared Prescribing Elderly people in Community over Time) trial finds no statistically significant impact prescribing patients undergoing pharmaceutical care, economic evaluations are based an estimation, rather than...
Abstract Aims To compare the cost‐effectiveness of wound swabbing versus tissue sampling for infected diabetic foot ulcers. Methods This multi‐centre, Phase III, prospective, unblinded, two‐arm parallel group, randomised controlled trial compared clinical (reported elsewhere) and economic outcomes swab over a 52–104 week period. Resource use was logged using case record forms patient questionnaire at weeks 4, 12, 26, 39, 52 104, costed laboratory published sources from UK NHS perspective,...
<ns3:p>Background In the UK, over 100,000 people have a stroke annually. Over 1.3 million live with effects of stroke, including problems mobility, communication, cognition, anxiety, depression and fatigue. Previous research has tested single interventions to improve outcomes in separate, fixed design, parallel-group trials. Evidence generation been slow inefficient. Adaptive trial designs are required, better understand multiple treatments, targeting questions simultaneously. We undertook...
ABSTRACT Observed variation in hospital costs may be attributable to differences patients' health outcomes. Previous studies have resorted inherently incomplete outcome measures such as mortality or re‐admission rates assess this claim. This study makes use of a novel dataset routinely collected patient‐reported (PROMs) linked inpatient records (i) access the degree which cost is associated with gain and (ii) explore how far judgement about performance changes when outcomes are accounted...
Background. The English Department of Health has introduced routine collection patient-reported outcome data for selected surgical procedures to facilitate patient choice and increase hospital accountability. However, using aggregate health scores, such as EQ-5D utilities, performance assessment purposes causes information loss raises statistical normative concerns. Objectives. For hip replacement surgery, we explore a) the change in outcomes between baseline follow-up on 5 dimensions...
Prospective, monthly diaries are recommended for collecting falls data but burdensome and expensive. The aim of the article was to compare characteristics fallers estimates fall rates by method collection.A methodology study nested within a large cluster randomized controlled trial. We 9,803 older adults from 63 general practices across England receive one three prevention interventions. Participants provided retrospective report in postal questionnaires mailed every 4 months. A separate...
Background Falls and fractures are a major problem. Objectives To investigate the clinical effectiveness cost-effectiveness of alternative falls prevention interventions. Design Three-arm, pragmatic, cluster randomised controlled trial with parallel economic analysis. The unit randomisation was general practice. Setting Primary care. Participants People aged ≥ 70 years. Interventions All practices posted an advice leaflet to each participant. Practices active intervention arms (exercise...
Background It is important that NHS resources are used to their full extent, but efforts reduce costs may have an adverse effect on patient outcomes. Our research designed provide a better understanding of the inter-relationship between and health outcomes among providers (hospitals) for common surgical procedures. Objectives In England, patient-reported measures (PROMs) collected from patients undergoing one four elective procedures: unilateral hip replacement, knee groin hernia repair...
Many studies show the adverse consequences of insufficient nurse staffing in hospitals, but safe and effective is unlikely to be just about staff numbers. There are considerable areas uncertainty, including whether temporary can safely make up shortfalls permanent using experienced mitigate effect shortages.
To assess the cost-effectiveness of treatment with eszopiclone for chronic primary insomnia in adults. A model using patient-level data from a 6-month, double-blind, placebo-controlled, clinical trial (n = 824), combined claims database and published literature, was used to quality-adjusted life years (QALYs) gained costs associated versus placebo adults insomnia. Quality were collected during via SF-36, which preference-based utility scores derived algorithms. Medical absenteeism costs,...
Summary Objective The best practice tariff for hip and knee replacement in the English National Health Service (NHS) rewards providers based on improvements patient-reported outcome measures (PROMs) collected before after surgery. Providers only receive a bonus if at least 50% of their patients complete preoperative questionnaire. We determined how many failed to meet this threshold prior policy introduction assessed longitudinal stability participation rates. Design Retrospective...
Background: In 2001, 486 deaths and 17 300 injuries occurred in domestic fires the UK. Domestic represent a significant cost to UK economy, with value of property loss alone estimated at £375 million 1999. 2001 US, there were 383 500 home fires, resulting 3110 deaths, 15 200 $5.5 billion direct damage. Methods: A cluster RCT was conducted determine whether smoke alarm give-away program, directed an inner-city population, is effective cost-effective reducing risk fire-related deaths/injuries....
In 2000–2002 an innovative early years curriculum, the Enriched Curriculum ( EC ), was introduced into 120 volunteer schools across Northern Ireland, replacing a traditional curriculum similar to others UK at that time. It intended by designers be developmentally appropriate and play‐based with primary goal of preventing experience persistent failure in children. The not literacy numeracy intervention, yet it did considerably alter pedagogy these domains, particularly age which formal...
SUMMARY Variation in the provision of health care has long been a policy concern. We adapt framework for productivity measurement used National Accounts, making it applicable sub‐national comparisons using cross‐sectional data. assess Health Service (NHS) across regions England, termed Strategic Authorities (SHAs). Productivity is calculated by comparing total amount healthcare output to inputs each region, standardised national average. Healthcare comprises 6500 different categories,...
Productivity growth is a key measure against which National Health Service (NHS) achievements are judged. We NHS productivity as set of paired year-on-year comparisons from 1998/1999–1999/2000 through 2012/2013–2013/2014, converted into chained index that summarises over the entire period. Our comprehensive data permit and accounts for multitude diverse outputs inputs involved in production process regular revisions to used quantify inputs. Over full-time period, output increased by 88.96%...